{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,16]],"date-time":"2024-09-16T16:43:17Z","timestamp":1726504997125},"reference-count":22,"publisher":"California Digital Library (CDL)","issue":"2","license":[{"start":{"date-parts":[[2020,4,27]],"date-time":"2020-04-27T00:00:00Z","timestamp":1587945600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Introduction: Emergency physicians are trained to treat a variety of ailments in the emergency department (ED), some of which are emergent, while others are not. A common complaint seen in the ED is a sore throat. While most sore throats are easily diagnosed and treated, less common causes are often not considered in the differential diagnoses. Therefore, the purpose of this case study was to present an atypical case of sore throat and discuss differential diagnoses. Case Presentation: The patient was a 45-year-old female who presented to the ED with a three-day history of sore throat that was exacerbated by eating and drinking. The patient was not on any prescription medications, but tried over-the-counter medications for the sore throat without any improvement in symptoms. Review of systems was positive for sore throat, fevers, and chills. Physical examination of her oropharynx revealed mildly dry mucous membranes with confluent plaques and white patchy ulcerative appearance involving the tongue, tonsils, hard palate, and soft palate. Rapid streptococcal antigen, mononucleosis spot test, and KOH test were performed and found to be negative. Discussion: After initial testing was negative, a follow-up complete blood count with differential and complete metabolic profile were ordered. The patient was found to have decreased lymphocytes and platelets. Based upon those results, a diagnosis was made in the ED, the patient was started on medication, and further laboratory workup was ordered to confirm the diagnosis. ED providers should consider non-infectious as well as infectious causes for a sore throat, as this might lead to a diagnosis of an underlying condition.<\/jats:p>","DOI":"10.5811\/cpcem.2020.2.46974","type":"journal-article","created":{"date-parts":[[2020,5,5]],"date-time":"2020-05-05T22:23:09Z","timestamp":1588717389000},"page":"234-240","source":"Crossref","is-referenced-by-count":1,"title":["A 45-year-old Female with an Atypical Presentation of Pharyngitis"],"prefix":"10.5811","volume":"4","author":[{"given":"Artur","family":"Schander","sequence":"first","affiliation":[{"name":"Sacred Heart Hospital, Department of Emergency Medicine, Pensacola, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Glickman","sequence":"additional","affiliation":[{"name":"HCA\/USF Morsani College of Medicine GME Consortium: Brandon Regional Hospital, Department of Emergency Medicine, Brandon, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nancy","family":"Weber","sequence":"additional","affiliation":[{"name":"Texas Tech University Health Sciences Center, Department of Emergency Medicine, El Paso, Texas; Paul L. Foster School of Medicine, Department of Emergency Medicine, El Paso, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian","family":"Rodgers","sequence":"additional","affiliation":[{"name":"Dallas Ear Institute, Dallas, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Carney","sequence":"additional","affiliation":[{"name":"Reynold\u2019s Memorial Hospital, Department of Emergency Medicine, Glen Dale, West Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"29705","published-online":{"date-parts":[[2020,4,27]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Metcalf Pate KA and Mankowski JL. HIV and SIV associated thrombocytopenia: an expanding role for platelets in the pathogenesis of HIV. Drug Discov Today Dis Mech. 2011;8(1-2):e25-32.","DOI":"10.1016\/j.ddmec.2011.10.001"},{"key":"ref1","unstructured":"Centers for Disease Control and Prevention. 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